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' RI D AND. R ~C~Q~t QE-G_'
~ ' ST,~UCIE CO~NTIT ~.A.
' - NOTICS OF LI~N RFCORD VERIRI~D
~ . '69 MAY 1 q~~~ ~ i
~ STATS OF FLpRIDA ~ C,~~
ROGER POtTRAS ~
COUNTY OF ST. LUCI$ •CLERK CIRCUIT COURTI , ,
NOTICE is hereby given that purauant to~the provisions~of
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! Chapter 65-2181; Laws of Florida, Acts of 1965, the Board of County ~
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~ Caamissioners of St. Lucie County, Florida, claims a lien in the
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amount of Sixty-six and 50/100
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' 66.50 ) Dollars against any real or personal property
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( or interest therein presently held or after acquired by
' . (Name of - •
Gloria Williams ~ of 3107 Juanita Ave., Ft. Pierce, Florida
Indigent or Recipient) (Address) ~
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~ for money directly spent by St. Lucie County for the care, hospital- _
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i ization, sustenance or maintenance of said Indigent or Recipient- ~
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1 of welfare assistance, as follows: ~ - .
Hospital: Fort Pierce Memorial - ~ ~ ~
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! Date Admitted: I1/14/68 ~ ~
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~ _ Date Discharged: 11/20/68 -
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'i ~ Number of Days:_ at $ 40.69 per ~y = $ 244.14 ~ .
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` 177.64
I~ Less credits
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- Amount of Lien $ 66.50
~ DATED at Fort Pierce, Florida, this 13~ day of
MaY , ~ 1969 . ~ ~ ~ . . . -
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SWORN to and subscribed before me •r y_;~~
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TM~s ~NfTRU~tENT MYAf PREPAREb E,Y ' O~
GOURTNOUSE. F'~•S f~RIDA d~i~l
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